Bridget K Sullivan, LPMA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

047.0133698 Issued in VT

Practice address

174 Hospital Loop
Berlin, VT 05602-9105

Phone

(802) 479-4083

Fax

(802) 476-1476

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington County Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Berlin, VT
  • NPI 1922026996

  Mental Health

  Medicare reassignment NPD
• Washington County Mental Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Montpelier, VT
  • NPI 1568210276

  Mental Health

  NPD
• Washington County Mental Health Services, Inc.

  • Developmental Disabilities Clinic/Center
  • Barre, VT
  • NPI 1710901939
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1407580996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-476-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-476-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIDGET",
        "middle_name": "K",
        "credential": "LPMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047.0133698",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin M Stinnett-Donnelly, MD
• Alicia M. Stone, LPMA
• Harris Kiva Strokoff, MD
• Jeffrey Alexander Stump
• Nicole R Sugrue, BA
• Austin D Sumner, MD
• Hannah Swayze-Quinn, MD
• Sarah E Swift, MD
• Hillary Camilla Sylvester
• Johannah H. Tallon, MS

• Psychologist in Berlin, VT
• Providers in Berlin, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.